Berg, Amy E

Berg, Amy E is an individual health care provider with primary practice located at 620 Ne 2Nd St , Gresham OR 97030-7514. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Berg, Amy E can be contacted via phone (971) 274-3757.

Contact Information

Primary practice address
620 Ne 2Nd St Gresham OR 97030-7514
Phone: (971) 274-3757
Fax: (503) 912-5740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN60333379 Washington
Nursing Service Providers / Registered Nurse 163W00000X 200540554RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP61012022 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201506290NP-PP Oregon

Profile Details

NPI number 1205204799
LBN Legal business name Berg, Amy E
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2015
Last updated Nov 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205204799 NPPES
Oregon MEDICAID 500715774

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